Vice President, Network Strategy & Management Value-Based Contracting
Core
Developing and managing the provider network strategy, including reimbursement, contracting, unit cost management, and network operations for a health plan serving 28 million members.
Role type
Vice President, Network Strategy & Management
Builds
Provider networks across expansion markets, fee schedules, and contract strategies for Medicaid, Medicare, and commercial markets.
Domain
Healthcare / Managed Care / Value-Based Contracting
Deliverable
client delivery
Required skills
Managed care network development, budgeting and forecasting, claim trend analysis, contract negotiation, market expansion strategy, M&A due diligence, team leadership
Preferred skills
Government programs experience, large-scale VBC program leadership, MBA or MHA degree
Technologies
None stated
Responsibilities
Oversee network development staff and external consultants; Lead periodic analyses of provider networks from cost, coverage, and growth perspectives; Manage budgeting and forecasting for product lines; Lead initiatives to review provider contracting rates; Develop fee schedules and rates for new and existing markets; Assist in key provider contract negotiations.
Seniority
Executive, strategic leadership with hands-on oversight